Cardiac History

Care Plan for Cardiac History

Problem

• I have a cardiac history including previous episodes of chest pain.

Goal

• I will not experience side effects from cardiac medication or chest pain for the next 90 days.

Plan/Approach

1. Monitor for Chest Pain

   • Monitor for onset of signs and symptoms of chest pain and notify MD/RNP if symptoms present.

2. Baseline Changes

   • Report any changes to baseline to the attending physician to ensure timely intervention.

3. Diet and Compliance

   • Provide diet as ordered and encourage diet compliance to support heart health.

4. Lab Monitoring

   • Draw labs as ordered and monitor results to ensure medication efficacy and safety.

5. Assistance with Care

   • Provide assistance with daily care as needed to support overall well-being.

6. Education and Emotional Support

   • Provide teaching and emotional support to me and my family regarding my diagnosis and management.

7. Medication Administration

   • Administer cardiac medications as ordered and monitor for side effects to ensure safety and effectiveness.

8. Exercise and Activities

   • Encourage exercise and activities as tolerated within physician's order to promote cardiovascular health.

9. Therapy Services

   • Offer OT/PT as ordered to support functional independence and physical health.

Rationale

1. Monitor for Chest Pain

   • Early detection and management of chest pain are crucial to prevent complications.

2. Baseline Changes

   • Monitoring baseline changes allows for prompt medical interventions, minimizing risk.

3. Diet and Compliance

   • Adhering to a heart-healthy diet helps manage cardiac conditions and reduce symptoms.

4. Lab Monitoring

   • Regular lab checks ensure medications are effective and not causing harm.

5. Assistance with Care

   • Providing assistance with care ensures safety and promotes comfort.

6. Education and Emotional Support

   • Educating and supporting me and my family helps in understanding and managing my condition better.

7. Medication Administration

   • Proper medication administration and monitoring help in managing symptoms and preventing side effects.

8. Exercise and Activities

   • Encouraging physical activity, as tolerated, promotes cardiovascular health and overall well-being.

9. Therapy Services

   • OT/PT support functional independence and physical health, improving quality of life.

Actions

1. Monitor for Chest Pain

   • Staff will monitor for signs and symptoms of chest pain and notify MD/RNP if symptoms present.

2. Baseline Changes

   • Staff will report any changes to baseline to the attending physician.

3. Diet and Compliance

   • Staff will provide diet as ordered and encourage diet compliance.

4. Lab Monitoring

   • Staff will draw labs as ordered and monitor results.

5. Assistance with Care

   • Staff will provide assistance with daily care as needed.

6. Education and Emotional Support

   • Staff will provide teaching and emotional support to me and my family regarding my diagnosis.

7. Medication Administration

   • Staff will administer cardiac medications as ordered and monitor for side effects.

8. Exercise and Activities

   • Staff will encourage exercise and activities as tolerated within physician's order.

9. Therapy Services

   • Staff will offer OT/PT as ordered.